Diorgi Lopez Suri, APRN in Jacksonville, FL - Medicare Nurse Practitioner

Diorgi Lopez Suri, APRN is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. His current practice location is 2624 Atlantic Blvd, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 513-3240.

Diorgi Lopez Suri is licensed to practice in Florida (license number 11011948) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841782505.

Contact Information

	Diorgi Lopez Suri, APRN
	2624 Atlantic Blvd, Jacksonville, FL 32207-3609
	(904) 513-3240
	Not Available

Map and Direction

Provider's Profile

Full Name	Diorgi Lopez Suri
Gender	Male
Speciality	Nurse Practitioner
Location	2624 Atlantic Blvd, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841782505
Provider Enumeration Date: 05/30/2018
Last Update Date: 10/05/2021

Medicare PECOS Information:

PECOS PAC ID: 3870901804
Enrollment ID: I20210413000094

Medical Identifiers

Medical identifiers for Diorgi Lopez Suri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841782505	NPI	-	NPPES
26778220	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11011948 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Diorgi Lopez Suri allows following entities to bill medicare on his behalf.

Entity Name	Cisca Pulmonary Critical Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629326285 PECOS PAC ID: 1951552371 Enrollment ID: O20121113000224

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diorgi Lopez Suri is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Diorgi Lopez Suri, APRN 6821 Southpoint Dr N Ste 107, Jacksonville, FL 32216-8026 Ph: (866) 372-0308	Diorgi Lopez Suri, APRN 2624 Atlantic Blvd, Jacksonville, FL 32207-3609 Ph: (904) 513-3240

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, FL

Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844
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Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080
Mr. Jeffrey Ludan Vongjesda, M.S., APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3728 Philips Hwy Ste 34, Jacksonville, FL 32207 Phone: 904-399-2766 Fax: 904-549-8300

Diorgi Lopez Suri, APRN - Medicare Nurse Practitioner in Jacksonville, FL